Kia Edwards

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

125 Bradford Dr
Moore, SC 29369-9628

Phone

(917) 520-3099

NPI assigned

Jan 25, 2023

Last updated

Jan 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1275249096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BRADFORD DR",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293699628",
            "telephone_number": "917-520-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BRADFORD DR",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293699628",
            "telephone_number": "917-520-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@advancemedonline.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "125 Bradford Dr",
            "city": "Moore",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293699628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaylee Chadwell, M.S. CCC-SLP
• Tina Wynn Cooper
• Emily D Crocker, RN
• Jordan Thomas Dunning, PHARM.D.
• Barry Anthony Earle, RPH
• Mark Egan, COTA/L
• Family Dental Health of Moore LLC
• Tara Ferris
• Andrew Earl Floyd Jr., D.M.D.
• Fusion Trucking LLC Dba Fusion Transportation

• Contractor in Moore, SC
• Providers in Moore, SC by specialty
• Contractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.